Search results for "GiST"

showing 10 items of 3463 documents

Prediction of long-term major events soon after a first ST-segment elevation myocardial infarction by cardiovascular magnetic resonance.

2016

Cardiovascular magnetic resonance (CMR) predicts combined clinical events in post-ST-segment elevation myocardial infarction (STEMI) patients. However, its contribution to predicting long-term major events (ME: cardiac death and non-fatal myocardial infarction [MI]) is unknown. We aimed to assess whether CMR predicts long-term MEs when performed soon after STEMI.We prospectively recruited 546 STEMI patients between 2004 and 2012. The Left ventricular (LV) ejection fraction (LVEF,%), infarct size (IS), edema, hemorrhage, microvascular obstruction, and myocardial salvage were quantified by CMR at pre-discharge. During a mean follow-up of 840 days, 57 ME events (10%; 23 cardiac deaths, 34 non-…

Malemedicine.medical_specialtyMagnetic Resonance SpectroscopyMyocardial InfarctionHemorrhage030204 cardiovascular system & hematologyTime03 medical and health sciencesVentricular Dysfunction Left0302 clinical medicineEdemaInternal medicinemedicineST segmentEdemaHumansRadiology Nuclear Medicine and imagingcardiovascular diseases030212 general & internal medicineMyocardial infarctionProspective StudiesRegistriesEjection fractionmedicine.diagnostic_testClinical eventsbusiness.industryMyocardiumReproducibility of ResultsMagnetic resonance imagingGeneral MedicineMiddle AgedInfarct sizemedicine.diseaseMicrovesselscardiovascular systemCardiologyFemalemedicine.symptombusinessCardiac deathsFollow-Up StudiesEuropean journal of radiology
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The role of depressive symptoms within the association of long-term exposure to indoor and outdoor traffic noise and cognitive function – Results fro…

2019

Abstract Objectives Traffic noise is negatively associated with cognitive function, and its perception can differ between depressed and non-depressed people. We studied the role of depressive symptoms in the association between traffic noise and cognitive function. We studied the role of depressive symptoms in the association between traffic noise and cognitive function. Methods During the first follow-up examination (2006–2008) of the German Heinz Nixdorf Recall study, cognitive function (five subtests and an additive global summary score, GCS) and depressive symptoms (CES-D score) were assessed in 2745 participants (aged 50–80, 49.8% women). Mild cognitive impairment (MCI) was diagnosed a…

Malemedicine.medical_specialtyMedizin010501 environmental sciencesAudiologyLogistic regression01 natural sciences03 medical and health sciencesCognition0302 clinical medicinemedicineHumansVerbal fluency testCognitive Dysfunction030212 general & internal medicineAssociation (psychology)Depression (differential diagnoses)0105 earth and related environmental sciencesRecallDepressionbusiness.industryTraffic noisePublic Health Environmental and Occupational HealthCognitionEnvironmental ExposureNoiseNoise TransportationFemalebusinessInternational Journal of Hygiene and Environmental Health
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Safety of Reconstructive Microsurgery in the Elderly Population: a Multicentric Prospective Study

2021

Background: Safety of reconstructive microsurgery in elderly patients is still a topic of debate, because no conclusive evidence exists that provides indications and risk evaluation in elderly patients. The purpose of this study, which the Italian Society for Plastic, Reconstructive, and Aesthetic Surgery (SICPRE) has promoted, is to evaluate the safety and the complication risk of elective reconstructive microsurgery in elderly patients as well as to identify patient- or procedure-related risk factors. The secondary aim is to evaluate the predictive role for complications of the Geriatric 8 score (G8). Methods: A total of 194 consecutive patients from 18 centers, aged 65 or older, who rece…

Malemedicine.medical_specialtyMicrosurgeryComplicationsmedicine.medical_treatmentSettore MED/19 - Chirurgia PlasticaFree flapLogistic regressionSurgical Flaps03 medical and health sciencesPostoperative Complications0302 clinical medicineElderlyRisk FactorsElderly populationReconstructive microsurgeryHumansMedicineIn patientProspective Studies030223 otorhinolaryngologyProspective cohort studyAgedAged 80 and overbusiness.industryGraft SurvivalAge FactorsPlastic Surgery ProceduresMicrosurgerySurgeryFree flapItaly030220 oncology & carcinogenesisComplications; Elderly; Free flap; Microsurgery; ReconstructionFemaleSurgeryPatient SafetyReconstructionbusinessComplication
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Association of total serum cholesterol with functional outcome following home care rehabilitation in Italian patients with stroke.

2012

Abstract Background Stroke is a disabling disease. In elderly populations, stroke is the third leading cause of death and the primary cause of reduction in or loss of functional ability and personal autonomy. Possible associations between levels of total serum cholesterol (TC) and both incidence of stroke and functional outcomes after rehabilitation are still under study. Objective To detect positive and negative prognostic factors associated with functional outcomes in first-time stroke patients admitted to an integrated home care rehabilitative program. Methods This study enrolled 141 patients with a first-time stroke who were admitted to a home care rehabilitation program. Primary outcom…

Malemedicine.medical_specialtyMultivariate analysisActivities of daily livingmedicine.medical_treatmentHealth StatusHypercholesterolemiaLogistic regressionSettore MED/42 - Igiene Generale E ApplicataSurveys and QuestionnairesActivities of Daily LivingOutcome Assessment Health CareMedicineHumansFunctional abilityMobility LimitationStrokeCause of deathAgedAged 80 and overRehabilitationbusiness.industryIncidence (epidemiology)Public Health Environmental and Occupational HealthAge FactorsStroke RehabilitationGeneral Medicinemedicine.diseasePrognosisHome Care ServicesStrokeCholesterolLogistic ModelsMental HealthTreatment OutcomeItalytotal cholesterol rehabilitation strocke functional outcomeMultivariate AnalysisPhysical therapyFemalebusinessDisability and health journal
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Stage 4 s neuroblastoma: features, management and outcome of 268 cases from the Italian Neuroblastoma Registry

2019

Background Infants diagnosed with stage 4 s neuroblastoma commonly experience spontaneous disease regression, with few succumbing without response to therapy. We analyzed a large cohort of such infants enrolled in the Italian Neuroblastoma Registry to detect changes over time in presenting features, treatment and outcome. Methods Of 3355 subjects aged 0–18 years with previously untreated neuroblastoma diagnosed between 1979 and 2013, a total of 280 infants (8.3%) had stage 4 s characteristics, 268 of whom were eligible for analyses. Three treatment eras were identified on the basis of based diagnostic and chemotherapy adopted. Group 1 patients received upfront chemotherapy; Group 2 and 3 pa…

Malemedicine.medical_specialtyMultivariate analysisAdolescentmedicine.medical_treatmentLiver transplantationPrognostic factorsPediatricsCohort Studies03 medical and health sciencesNeuroblastoma0302 clinical medicineStage 4 s030225 pediatricsInternal medicineNeuroblastomamedicineHumansRegistries030212 general & internal medicineElevated ldhStage (cooking)Risk factorChildMale genderStage 4 sNeoplasm StagingChemotherapybusiness.industryResearchInfant Newbornlcsh:RJ1-570Infantlcsh:PediatricsPerinatology and Child Healthmedicine.diseaseSurvival RateInfants; Neuroblastoma; Prognostic factors; Stage 4 s; Pediatrics Perinatology and Child HealthItalyChild PreschoolFemalebusinessInfantsItalian Journal of Pediatrics
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Disability, and not diabetes, is a strong predictor of mortality in oldest old patients hospitalized with pneumonia

2018

Abstract Background Pneumonia causes more deaths than any other infectious disease, especially in older patients with multiple chronic diseases. Recent studies identified a low functional status as prognostic factor for mortality in elderly patients with pneumonia while contrasting data are available about the role of diabetes. The aim of this study was to evaluate the in-hospital, 3-month and 1-year mortality in elderly subjects affected by pneumonia enrolled in the RePoSi register. Methods We retrospectively analyzed the data collected on hospitalized elderly patients in the frame of the REPOSI project. We analyzed the socio-demographic, laboratory and clinical characteristics of subjects…

Malemedicine.medical_specialtyMultivariate analysisBarthel indexSocio-culturaleComorbidity030204 cardiovascular system & hematologyDiabeteSeverity of Illness IndexComorbidity; Diabetes; Disability; Elderly; Pneumonia; Aged; Aged 80 and over; Comorbidity; Diabetes Mellitus; Disabled Persons; Female; Geriatric Assessment; Hospitalization; Humans; Italy; Logistic Models; Male; Multivariate Analysis; Pneumonia; Retrospective Studies; Risk Factors; Severity of Illness Index03 medical and health sciences0302 clinical medicineElderlyRisk FactorsDiabetes mellitusInternal medicineSeverity of illnessmedicine80 and overDiabetes MellitusInternal MedicineHumansDisabled Persons030212 general & internal medicineGeriatric AssessmentAgedRetrospective StudiesAged 80 and overDisabilitybusiness.industrySettore MED/09 - MEDICINA INTERNADiabetesRetrospective cohort studyOdds ratioPneumoniamedicine.diseaseOldest oldComorbidityPneumonia; Elderly; Disability; Diabetes; ComorbidityHospitalizationLogistic ModelsItalyMultivariate AnalysisFemaleComorbidity Diabetes Disability Elderly Pneumoniabusiness
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Patterns of recurrence of obstructing colon cancers after surgery for cure: a population-based study.

2013

Aim Little is known about patterns of recurrence in obstructing colon cancer (OCC) at a population level. The aim of this study was to determine the risk of recurrence following potentially curative surgery in OCC compared with that in uncomplicated colon cancer (CC). Method Data were obtained from the population-based digestive cancer registry of Burgundy (France). Local and distant failure rates were calculated using actuarial methods. A multivariate analysis was performed using a Cox model. Results Obstructing colon cancer represented 8.5% of all colon cancers resected with curative intent (n = 3375). The 5-year cumulative local recurrence rate was 14.2% for OCC and 7.6% for nonobstructi…

Malemedicine.medical_specialtyMultivariate analysisColorectal cancerPopulationDisease-Free SurvivalColonic DiseasesRisk FactorsmedicineHumansRegistriesRisk factoreducationMass screeningAgedProportional Hazards Modelseducation.field_of_studybusiness.industryProportional hazards modelHazard ratioCarcinomaGastroenterologyAge FactorsMiddle Agedmedicine.diseasePrognosisSurgeryRelative riskColonic NeoplasmsMultivariate AnalysisFemaleNeoplasm Recurrence LocalbusinessIntestinal ObstructionColorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland
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Prelingual sensorineural hearing loss and infants at risk: Western Sicily report.

2013

Objective: To evaluate independent etiologic factor associated with sensorineural hearing loss (SNHL) in newborn at risk; to study the role of their interaction especially in NICU infants who present often multiple risk factors for SNHL. Methods: The main risk factors for SNHL reported by JCIH 2007 were evaluated on 508 infant at risk ranging from 4 to 20 weeks of life, transferred to the Audiology Department of Palermo from the main births centers of Western Sicily. After a global audiological assessment, performed with TEOAE, tympanometry and ABR, the prevalence and the effect of risk factors was statistically studied through univariate and multivariate analysis on the total population (n…

Malemedicine.medical_specialtyMultivariate analysisHearing Loss SensorineuralAudiologyLogistic regressionMultiple risk factorsNeonatal ScreeningRisk FactorsIntensive Care Units Neonatalotorhinolaryngologic diseasesmedicinePrevalenceHumansFamily historySicilyInfants at risk Neonatal hearing screening Sensorineural hearing loss NICU infantsAbsolute threshold of hearingmedicine.diagnostic_testbusiness.industryInfant NewbornInfantGeneral MedicineTympanometrymedicine.diseaseSettore MED/32 - AudiologiaOtorhinolaryngologyAcoustic Impedance TestsPediatrics Perinatology and Child HealthCohortSensorineural hearing lossFemalebusinessInternational journal of pediatric otorhinolaryngology
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Potential Risk of Medication Discrepancies and Reconciliation Errors at Admission and Discharge from an Inpatient Medical Service

2010

Background: Medication discrepancies, defined as unexplained variations among drug regimens at care transitions, are common. Some are unintended and cause reconciliation errors that are potentially detrimental for patients. Objective: To determine the prevalence of medication discrepancies and reconciliation errors at admission and discharge in hospitalized patients and explore risk factors for reconciliation errors and their potential clinical impact. Methods: An observational prospective study was conducted at a general teaching hospital. Patients who were admitted to the internal medicine service and were receiving chronic preadmission treatment were included in the study. Preadmission t…

Malemedicine.medical_specialtyMultivariate analysisMEDLINEPatient safetyMedication ReconciliationPatient AdmissionRisk FactorsPrevalenceClinical endpointHumansMedication ErrorsMedicinePharmacology (medical)Prospective StudiesRisk factorHospitals TeachingProspective cohort studyAgedAged 80 and overbusiness.industryPotential riskAge FactorsMiddle Agedmedicine.diseasePatient DischargeLogistic ModelsMultivariate AnalysisEmergency medicineFemaleObservational studyMedical emergencybusinessAnnals of Pharmacotherapy
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Predictive factors for Enterococcus faecalis in complicated community‐acquired urinary tract infections in older patients

2019

AIM Risk factors for complicated community acquired Enterococcus faecalis urinary tract infection (UTI) in older patients are not well known. METHODS We identified the predictive factors for E. faecalis on a cohort of 659 older patients admitted to hospital with complicated UTI. We also examined the adequacy of empirical antimicrobial therapy and outcomes in E. faecalis UTI. Multivariable logistic regression was used to identify predictors of E. faecalis UTI. RESULTS A total of 87 (13.2%) patients had E. faecalis UTI; of these 63.2% were men, their mean age was 82.3 years and they had a great number of comorbidities. Severe sepsis or septic shock was present in 50.5%, and bacteremia was pre…

Malemedicine.medical_specialtyMultivariate analysisUrinary systemBacteremiaUrinary Cathetersurologic and male genital diseasesLogistic regressionEnterococcus faecalisCohort Studies03 medical and health sciences0302 clinical medicineRisk Factors030502 gerontologyInternal medicineEnterococcus faecalismedicineHumansProspective StudiesGram-Positive Bacterial InfectionsAgedAged 80 and overbiologySeptic shockbusiness.industrybacterial infections and mycosesbiology.organism_classificationAntimicrobialmedicine.diseasefemale genital diseases and pregnancy complicationsAnti-Bacterial AgentsCommunity-Acquired InfectionsHospitalizationBacteremiaUrinary Tract InfectionsCohortFemale0305 other medical sciencebusiness030217 neurology & neurosurgeryGeriatrics & Gerontology International
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